HomeMy WebLinkAboutOpening of Bids - VPA Maintenence Storage Building Project No 118-046R - Brown & Brown General ContractorsCITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK rosa
Project Name VPA Maintenance Storage Building
Project No,118-046R
For Bids Due August 28, 2018
PARTI
(Must be completed for all bids. Please type or print)
Date: August 28, 2018 Bidder (Firm): Brown & Brown General Contractors, Inc.
Address: 124 S. Elkhart St,, PO Box 487
City/StatelZip: Wakarusa, IN 46,573-0487 Telephone Number: (, 574 ) 862-2171
Agent of Bidder (if Applicable):
Pursuant to notices given, the, undersigned offers to furnish labor and/or material necessary to complete the
public works project of:
VPA Maintenance Storage Building
the City of South Bend, Indiana, in accordance with plans and specifications prepared by:
Kil Architecture/Planning
and dated August 3, 2018 for the sum of (enter the Total Bid as shown on the Proposal)
Three hundred thirty-four thousand seven hundred thirty and 00/1 0O ($ 334,730.00
(Enter sum of Total Base Bid plus Alternates shown on Proposal) (Numerical)
The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in
the notice of the letting. If alternative bids apply', the undersigned submits a proposal for each in accordance
with the notice. Any a,ddendums attached will be specifically referenced at the applicable page.
If additional units of material included in the contract are needed, the cost of units must be the same as that
shown in the original contract if accepted by the City of South Bend, If the, bid is to be awarded on a unit
basis, the itemization of the units shall be shown on a s"I'arattatt ent.
By
Eric Brown, President (Slgnature)
(Printed Warne of Person Signing)
ACCEPTANCE
The above bid is accepted this day of
Subject to the following conditions:
1#1031A N;X01111111911FOR
Gary A. Gilot, President
Elizabeth A. Maradik, Member
no]
Suzanna M. Fritzberg, Member
Therese J. Dorau, Member
James A. Mueller, Member Attest: Linda M. Martin, Clerk
Version '10117/2017 Contractor's Bid for Public Works - 2
Project Name
Project No.
For, Bids Due
BASE BID
M I 0712�1
VPA Maintenance Storage Building
.. . .........
118-046R
August 28, 2018
Item
No,
Description
Quantity
Unit
Unit Price
.... ...........
Total' Amount
Building Addition: pre-engineered metal
1
building addition delivered to site,
1
LS
1018,296.,00
108,296.00
erection,, roof panels, wall panels,
insulation (superstructure)
2
Sectional OH Doors, operators, service
I
LS
doors
21,330,00
21,330.00
3
Excavation, Concrete foundation and
1
LS
concrete floor slab (substructure)
76,096.00
76,096.00
4
Site work: Excavation, drywells, crushed
1
LS
stone
88,543,00
88,543.00
5
Electrical Power and Lighting
1
LS
18,985.00
18,985.00
BASE BID TOTAL 313,250.00
ALTERNATE#11
Item
Description
Quantity
Unit
Unit Price
Total Amount
Unit price for from one to three concrete
1
aprons, as shown on C1. 1 (alternates
ea
LS
1,116,00
3,348.00 for
1b, 1JAll to be 19'x 6'x6",
_
ALTERNATE #2
three
ALTERNATE #1 EACH', 1, 116,00 each
Item,
Description
Quantity
Unit
Unit Price
Total Amount
11
20'x 8' high gate with chain and pad lock.
LS
2,785.00
2,785.00
ALTERNATE #2 TOTAL 2,785.00
ALTERNATE #3
Item Description Quantity Unit Unit Price Total Amount
_4�7_0 CF -x6'high chain link fencing with
1 one 16'x 6' high double gate on west 470 LF 15,347,00 15,347.00
side, at curb cut near Sample Street.
ALTERNATE #3 TOTAL 15,347.0�0
Bidder (Firm); Brown & Brown General Contractors, Inc.
Address: 124 S. Elkhart St., PO Box 487
City/State/Zip: Wakarusa, IN 46573-0487 Telephone Number: ( 57,4 ) 862-2171
By 6C_
11�iqaz,_7
(Signature)
Eric Brown, President
(Printed Name of Person Signing)
08-22-2018 Contractor's Bid for Public Works - 1
When the prospective Contractor is unable to certify to any of the statements below, it shall attack an crplanation to this Affidavit.
CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION
REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON-
DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL
PRODUCTS OR FOUNDRY PRODUCTS
(Must be completed for all quotes and bids. Please type or print)
STATE OF Indiana )
) SS:
Elkhart COUNTY }
The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury
that:
1. Contractor has not, nor has any other member, representative, or agent of the firm, company,
corporation or partnership represented by him, entered into any combination, collusion or agreement with
any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding
nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and
without any agreement, understanding or combination with any other person in reference to such bidding.
Contractor further says that no person or persons, firms, or corporation has, have or will receive directly or
indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and
2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals
are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal department or agency; and
3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in
investment activities in Iran.
a. For purposes of this Certification, "Iran" means the government of Iran and any agency
or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as
amended from time -to -time.
b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor
is engaged in investment activities in Iran if either:
i. Contractor, its successor or its affiliate, provides goods or services of twenty
million dollars ($20,000,000) or more in value in the energy sector of Iran;
or
ii. Contractor, its successor or its affiliate, is a financial institution that extends
twenty million dollars ($20,000,000) or more in credit to another person for
forty-five (45) days or more, if that person will (i) use the credit to provides
goods and services in the energy sector in Iran; and (ii) at the time the
financial institution extends credit, is a person identified on list published by
the Indiana Department of Administration.
Version 10/17/2017 Contractor's Bid for Public Works - 4
4. Contractor does not knowingly employ or contract with an unauthorized alien, nor retain any
employee or contract with a person that the Contractor subsequently learns is an unauthorized alien.
Contractor agrees that he/she/it shall enroll in and verify the work eligibility status of all of Contractor's
newly hired employees through the E-Verify Program as defined by I.C. 22-5-1.7-3. Contractor's
documentation of enrollment and participation in the E-Verify Program is included and attached as part of
this bid/quote; and
5. Contractor shall require his/her/its subcontractors performing work under this public contract to
certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain
any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien,
and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees
to maintain this certification throughout the term of the contract with the City of South Bend, and understands
that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision
no later than thirty (30) days after being notified by the City.
6. Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City
of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or
applicant for employment in the performance of a City contract with respect to hire, tenure, terms, conditions,
or privileges of employment, or any matter directly or indirectly related to employment because of race, sex,
religion, color, national origin, ancestry, age, gender expression, gender identity, sexual orientation or
disability that does not affect that person's ability to perform the work.
In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any
combination of the foregoing including, but not limited to, public works contracts awarded under public
bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards,
or commissions may consider the Contractor's good faith efforts to obtain participation by those Contractors
certified by the State of Indiana as a Minority Business ("MBE") or as a Women's Business Enterprise
("WBE") as a factor in determining the lowest, responsible, responsive bidder.
In no event shall persons or entities seeking the award of a City contract be required to award a subcontract
to an MBE/WBE; however, it may not unlawfully discriminate against said WBE/MME. A finding of a
discriminatory practice by the City's MBE/WBE Utilization Board shall prohibit that person or entity from
being awarded a City contract for a period of one (1) year from the date of such determination, and such
determination may also be grounds for terminating the contact for which the discriminatory practice or
noncompliance pertains.
7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made
a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its
agencies, boards or commissions.
Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the
performance of this contract with privileges of employment, or any matter directly or indirectly related to
employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation,
handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of
contract.
1, the undersigned bidder or agent as contractor on a public works project, understand my statutory
obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby
certify that I and all subcontractors employed by me for this project will use steel products or foundry
products made in the United States on this project if awarded. I understand I have an affirmative duty to
notify the City in my bid that my proposal does not include the use of steel products or foundry products
made in the United States. I understand it is my sole obligation and responsibility to provide a justification
to the City, subject to review and approval, why the cost of United States made steel or foundry products is
unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry
products made in the United States, the City, through its director of public works, shall make a determination
if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder
Version 10117/2017 Contractor's Bid for Public Works - 5
rnay result in forfeiture of contractual payments.
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid
for public works are true and correct.
Dated this 27th day of August, 2018
Subscribed and sworn to before me this 27th
My Commission Expires 3/1/2,019
County of Residence
Brown & Brown General Contractors, Inc.
Contractor/11idder (Fir ,
rwl
Signaturi &�Contractor/Bidder or I Its Agent
Eric Brown, President
Printed Name and Title
day of August —, 20 18
Notary Pub is O"TAR "I" e
St. Joseph
n=
/N D
Version 10/17/2017 Contractor's Bid for Public Works - 6
Init.
%towAIA Document A31 OTM -2010
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place
Brown & Brown General Contractors, Inc. of business)
P. O. Box 487 Philadelphia Indemnity Insurance Company
This document has important legal
Wakarusa, IN 46573-0487 Bala Cynwyd, PA
consequences. Consultation with
OWNER:
an attorney is encouraged with
(Name, legal status and address)
respect to its completion or
City of South Bend Board of Public Works
modification.
County -City Building Room 1316, 227 West Jefferson Blvd
Any singular reference to
South Bend, IN 46601
Contractor, Surety, Owner or
BOND AMOUNT:
other party shall be considered
Five Percent of the Total Bid 5% of Total Bid j
plural where applicable.
PROJECT:
(Name, location or address, and Project number, if any)
VPA Maintenance Storage Building; Public Works Project No. I I 8-046R
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the
Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and
severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and
Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the
difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this
obligation shall be null and void, otherwise to remain in full force and effect, The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so
furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
Signed and sealed this 8th day of August 2018
wW Brown &Brown General Contractors Inc.
(Principal) (Seal)
Witness ()
Tide) iz ,izae
Philadelphia Indemnity Insurance Company
(Surety) (Seal)
1100",
(Witness)
pQfer L. kdsznfa, Att*ey in Fact
W CAUT110You should algin ain origlinal AIA Contrael luoculment, on lt!6", this text appears In IR rip. Ain odgin,M assure-m that
chainges willl not be obsctireid.
AIA Document A31 OTm - 2010. Copyright @ 1963,19,70 and 2010 by The American Institute of Architects. All rights reserved. WA it �Ttfls X0
Doicument is protected by US. CopyrWh,t A aw, and IloternationM Treafies. Unaluthorlized reproducUorw or dlstrlbuflora of Uds MAO Docummit, or
any poi "Holl of H, rnay restflg in severe dyll and WnVnall penalties, anrd wfll Ibe Prosecuted to the mwtfirniurn extent posalble under the law,
Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail
The American Institute of Architects' legal counsel, copyright@ala.org. 0611 IG
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbara Pearson, Jordan 'Schelber, Jennifer Knsznht, Mark
Wobbe Megan Riesenberg, Nicole Bicknell Sandra Junk, Theresa Burns Wesley Mantooth William Cerney HI and Cheryl Alklre of Gibson Insurance
Agency, Inc. its true and lawful Attorney -in -fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity
and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $1,00,000,001.00.
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14"" of November, 2016.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company. (1) Appoint Attorneys) in Fact and authorize the Attorney(s) in Fact to
execute ail behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
thereto; and (2) to remove', at any time, any such Attorney -in -Fact and revoke the
authority given. And, be it
FURPHER,
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such. Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is. attached.
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS
CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27rrr DAY OF OCT'OBER, 2017.
�n4,o rvorexrae
051)1 ry s
m
,
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 27"' day of October, 2017, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said
that he is the therein described and authorized officer of the PHILADELPHIA, INDEMNITY INSURANCE COMPANY; that the seal affixed to said 'instrument is.
the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed.
06MMONWEALTH OF PENNSYLVANIA
NOTARUILSCRI
akmapp NPl.� Pabk Notary Public:
lily Cammd.as1'ary Expd,as 5ap1. 25.2021
M1�pb p.P R N'M N.AIOX qI KKJ
residing at:
('Notary Seal)
My commission expires:
Bala Cynwyd, PA
September 25, 2021
1, Edward Sayago, 'Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of
Directors and the Power of Attorney issued pursuant thereto on the 27"' day of October, 2017 are true and correct and are still in full fence and effect, I do further certify
that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney tire duly elected President
of PHILADELPHIA INDEMNITY INSURANCE COMPANY.
In. Testimony Whereof I have subscribed my name and affixed the facsimile seal of each. Company this day of I' , M 20
T.
1 fl t' Edward Sayago, Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
1316 COLWYATIN BUILDINO
flit( ME
227 BOULEVARD
SOUTI i BN D F INDI A N A 4 6 60' 1- 18
IDD
, .3f2
CITY OF Sou, rT t B i
N f
BUIT16112"G,
MAYOR,
Date:
To:
From
Subject
Project Name
Project No,:
BOARI) OF PUBLIC WORK'S
August 21, 2018
All Planholders
Linda M. Martin, Clerk, Board of Public Works
Addendum Number: I
574/ 235-925 1
574/ 235-9171
5741235.5567
VPA New Maintenance Storage Building (Re -bid)
VPA Project No 10,62-2018 / Public Works Project No 118-046R
Date Received: August 21, 2018
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt.A copy MUST also be included with your
bid package upon submittal.
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a part of herein.
Company: Brown & Brown General Contractors, Inc.
Authorized Signature: 2dg"-L &449!1-
i/
Date: Auqust 21, 2018
't'ov V ff
N�ow 574/ 235-9251
1316 (OUNTY-0"j'y BIJUDING
227 W-hmimON Bot,axVARD F"kx 5741235-9171
SOUM BIND, INDIANA 46601- 1830 TIA) 574/ 235-5567
Ury ot,' Sou'ri i 13FNI) B IfTrIGIEG, MAY011(
BOARD OF PUBUC WORKS
Date: August 22, 2018
To: All Planholders
From Linda M. Martin, Clerk, Board of Public Works
Subject Addendum Number: 2
Project Name: VPA New Maintenance Storage Building (Re -bid)
Project No.: VPA Project No 1062-2018 / Public Works Project No 118-046R
Date Received: Auaiust 22, 2018
This addendum is being forwarded to you for the above referenced project.
Please sign below and acknowledge receipt of this, Addendum by
faxing this sheet to the Board of Public Works at (574) 235-9171
within 48 hours of receipt. A copy MUST also be included with your
bid package: upon submittal.
ore IRVAUAI-&'I
Notes:
The attached documents are hereby added to the Specifications and Contract
Documents and become a pail of herein.
Company: Brown & Brown General Contractors, Inc.
Authorized Signature: Wa4r& /�-u
Date: Auust 22, 2018
re 1. W_1JJ41
imm"4111M Or : 93
Project Name VPA Maintenance Storage Building
Project No.
For Bids Due
1118-046IR
August 28, 2018
From time to, time the South Bend Board of Public Works finds it necessary to reject a bid because
it does not comply with statutory requirements. In preparing your bid, please use the following
checklist in order to make sure that your bid is done in the proper manner.
Proper bid security included. The bidder has the option of providiing either a Certified Check
or Bid Bond.
Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely
executed,
Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments
with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and
Certification of use of United States Steel Products or Foundry Products.
Proof of MRE/WBE Participation Goal Form [MWBE-1.0]. If minimum participation goal is not
met, also provide Evidence of Good Faith Efforts Form [MWBE-2.0] and MBEANBE Contacted
Form [MWBE-2,1].
City of South Bend, Indiana Contractor's Bid for Public Work Responsible Bidder Checklist.
Acknowledge Receipt of 1,2 Addendum(s) included with the bid.
All required additional information is included with the bid.
Proposal, statements and other affidavits all signed by the proper party with name either
printed or typed underneath signature.
This checklist submitted with the Bid.
This checklist is provided for bidder's use in assuring compliance with required
documentation; however, it does not include all specifications requirements and does not
relieve the bidder of the need to read ands comply with the specifications.
Bidder: Brown & Brown General Contractors, Inc. Date: August 28, 2018
By Authorized Representative: /11 C
Signature:
Print Name & Title: Eric Brown, President
Version 1,0/17/2017 Contractor's Bid for Public Works - 1
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CITY OF SOUTH BEND
MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.0
EVIDENCE OF GOOD FAITH EFFORTS
This completed forme should be included as part of the Bids documents related to City of South Bend Public
Works Projects requiring Good Faith Efforts to obtain MBENVBE participation. It is the bidder's sole
responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority
or Women's owned business as defined by the Indiana Department of Administration ("IDOA").
Project Number:
Project Name
Bidder:
118-04,6R
_VPA Maintenance Storage Building
Brown & Brown General Contractors, Inc.
Contact Person: Eric Brown
Address: 124 S. Elkhart St., PO Box 487
Date: August 28, 2018
Telephone: 574-862-2171
City: - Wakarusa State: IN Zip: 46573-0487
Email: eric@bbgc.us
To determine whether a bidder has demonstrated good faith efforts to reach the MBE/WBE utilization goals set
forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or
commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below*:
EVIDENCE OF GOOD FAITH EFFORTS
MBEtWBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business
Enterprise Diversity Development Program,, which uses the IDOA approved list of Minority and Women
Owned Business as found on their web,site (1http1/wwwJn.gov/idoa).
ACTION (ADVERTISE/CONTACT): In order for your bid to be deemed responsive, the City of South
Bend requires that all perspective bidders complete no less than 2 of the following:
1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and
subcontracting opportunities.
2. Advertise in general circulation, and/or trade association publications concerning subcontracting
opportunities, and allow MBE1WBEs reasonable time to, respond.
3. Perform any and all necessary steps to provide written notice in a manner reasonably calculated
to inform MBE/WBEs of subcontracting opportunities and allowed sufficient time for them to
participate effectively,
4. Utilize pre-existing services of available community organizations, small and/or disadvantaged
business assistance offices and other organizations that provided assistance in the recruitment
and placement of MBE/WBE firms.
**Bidder must circle or otherwise notate which of the two (2) required actions were performed.
GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBEIWBES,
including providing such MBE/WBE's with adequate information about the plans, specifications and other
requirements of the subcontract and did not reject MBIEANIBEs as unqualified without sound business
reasons based on a thorough investigation of their capabilities.
SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by
MBE/WBEs in, order to increase the likelihood of meeting the MBE/WBE goals (including breaking down,
contracts into smaller units to facilitate IMBEANBIE participation)
CONTRACT RECORDS: The bidder has maintained the following records for each MBEMBE that has
bid on the subcontracting opportunity:
1. Name, address, and telephone number;
2. A description of information provided by the bidder or subcontractor; and
3. A statement of whether an agreement was reached, and if not, why not, including any reasons for
concluding that the MBE/WBE was uniqualified to perform the job.
*Proper demonstration, of Good Faith Effort requires your Initials next to all of the above boxes. Any
omissions shall be considered grounds for rejection of the bid) by the Board of Public Works. The City of
South Bend reserves the right to request additional information.
Version 10/17/20117 Contractor's Bid for Public Works - 10
CITY OF SOUTH BEND
MINORITY AND ipWOMEN BUSINESS ENTERPRISE DIVERSITY
DEVELOPMENT PROGRAM
FORM MWBE-2.1
MBE1WBE CONTACTED
This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects
requiring contacted MBE/WBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify
whether any listed minority or woman business meets the qualifications of a Minority or Women's owned
business. PAGE 1 OF 1
Project Number: 118-046R MBE/WBE Participation Goal
Project Namie: VIDA Maintenance Storage Building
Bidder: Brown & Brown General Contractors, Inc.
By: President August 28, 2018
(Signature) (Title) (Date)
IMBENVBE Firm McMann Electric
Owner or Contact at MBE/WBE Firm Terri McMann
Telephone: 5,74-288-4777 Fax: Email: ritl204@datacruz.com
TYPE OF WORK SOLICITED FOR THIS PROJECT: earthwork
RESULTS OF CONTACT WITH THE MBE/WBE FIRM: bidding project
MBE/WBE Firm McMann Electric
Owner or Contact at MBEANBE Firm Terri McMann
Telephone; 574-674-5748 Fax: Email: terrimcmann@mcmannelectric.com
TYPE OF WORK SOLICITED FOR THIS PROJECT: electrical
RESULTS OF CONTACT WITH THE MBE/WBE FIRM: notbidding project
Version 10/1712017 Contractor's Bid for Public Works - 11
CITY OF SOUTH BEND, INDIANA
CONTRACTOR'S BID FOR PUBLIC WORK
RESPONSIBLE BIDDER CHECKLIST
Project Name: VPA Maintenance Storage Building
Project No.:
118-046 R
For Bids Due: August 28, 2018
Contractor Name: Brown & Brown General Contractors, Inc.
The City seeks to enhance its ability to identify responsive and responsible bidders on all City public works
projects by institution of comprehensive submission requirements in compliance with State law. Quality
workmanship, efficient operation, safety, and timely completion of projects requires that all bidders meet
certain minimum requirements to be responsive and responsible bidders.
THIS FORM MUST BE SUBMITTED WITH YOUR BID.
INSTRUCTIONS:
If you are a pre -qualified bidder, complete Section I only.
If you are not a pre -qualified bidder, complete Section li only.
Section li acts as an application for pre -qualification. Submission of Section II will allow the bidder to be
considered for pre -qualification for bids with the City of South Bend Department of Public Works. Pre -
qualified bidders will then be exempt from a portion of the submission requirements outlined in Section 6-
63 of The Responsible Bidding Ordinance No. 10594-18 (hereinafter, "Responsible Bidding Ordinance")
for a period of twelve (12) months.
Thereafter, contractors who are pre -qualified must submit a complete application for continuation of "pre -
qualified" standing, on a form provided by the City ("Responsible Bidder Checklist (1) Pre -Qualified
Bidders") by December 3181 for the upcoming calendar year, or within twelve (12) months of obtaining pre -
qualified standing. if the status of any item changes within the twelve (12) months, it is the responsibility of
the contractor to notify the City. Failure by any pre -qualified contractor to submit its complete application
for continuation of "pre -qualified" standing within the time prescribed above shall result in automatic removal
of the designation, effective January 1 of the following year, or immediately following the twelve (12) months
of pre -qualified standing.
However, the "removed" contractor or subcontractor shall still be permitted to bid on City public works
projects, though the contractor must submit all required documents under 6-63 until "pre -qualified" status
is re-established.
Please Note: The City reserves the right to request supplemental information from the bidder,
additional verification of any information provided by the bidder, and may also conduct random
inquiries of the bidder's current and previous customers regardless of pre -qualified standing.
It is the sole responsibility of the potential bidder to comply with all submission requirements applicable to
the bidder in Section 6-63 of the Responsible Bidding Ordinance no later than the date of the public bid
opening.
06-18-2018 Contractor's Bid for Public Works - 12
POST BID SUBMISSIONS:
Post -bid submissions must be submitted in accordance with Section 6-64 of the Responsible Bidding
Ordinance. The post -bid submission requirements are as follows:
1. All bidders shall collect, maintain, and provide upon request, a current written list that discloses the
name, address, licensing status, and type of work for any subcontractor from whom the bidder has
accepted a bid and/or intends to hire on any part of the public work project, including individuals
performing work as independent contractors.
2. Each subcontractor, whose portion of the project is estimated to be at least one -hundred fifty
thousand dollars ($150,000.00), shall be required to adhere to the requirements of Section I of the
Responsible Bidder Ordinance as though it were bidding directly to the City, except that the
subcontractor shall submit the required information (including the name, address, and type of work)
to the successful bidder prior to the commencement of work.
3. Failure of a subcontractor to submit the required information shall not disqualify the successful
bidder from performing work on the project and shall not constitute a contractual default and/or
breach by the successful bidder. However, the City may withhold all payment otherwise due for
work performed by a subcontractor, until the subcontractor submits the required information and
the City approves such information.
4. The disclosure of a subcontractor list ("Disclosed Subcontractors)") to the City by a bidder shall
not create any rights in the Disclosed Subcontractor(s). Thus, a bidder may substitute another
subcontractor for a Disclosed Subcontractor by giving the City, upon request, written notice of the
name, address, licensing status, and type of work of the substitute subcontractor.
5. The successful bidder and all subcontractors on a public works project are required to submit
certified payroll utilizing the federal form known as WH-347 or a similar form on a bi-weekly basis,
submitted within 10 days after the end of each bi-weekly payroll period. Certified payrolls shall
identify the job title and craft for each employee.
Please Note: Submissions deemed inadequate, incomplete, or untimely by the City may result in
the automatic disqualification of the bid.
The City, after review of complete and timely submissions, shall, in its sole discretion, after taking into
account all information in the submission requirements, determine whether a bidder is responsive and
responsible, and provide a Pre -Qualification Verification Letter. The City specifically reserves the right to
utilize all information provided in the contractor's submission and any information obtained by the City
through its own independent verification of the information provided by the contractor.
06-18-2018 Contractor's Bid for Public Works -13
I. PRE -QUALIFIED BIDDER CHECKLIST
(a) Acknowledgements
0) By checking this box, I hereby acknowledge that I am a pre -qualified bidder with
the City of South Bend and that I have met the pre -qualification requirements within
the last twelve (12) months. A copy of my Pre -Qualification verification letter
is attached.
(ii) By checking this box, I hereby acknowledge that the City reserves the right to
request supplemental information, additional verification of any information
provided by me, and may also conduct random inquiries of my current and prior
customers.
(b) Attachments
(i) Indiana Secretary of State's on-line records (ie. Business
verification) dated within sixty (60) days of the submission of said document
showing that business is in existence, current with the Indiana Secretary of State's
Business Entity Report, and eligible for a certificate of good standing. (Not
applicable to individuals, sole proprietors or partnerships).
(ii) Statement on staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work. It
outlines how I intend to meet the staffing needs of the work.
(iii) Evidence that I am utilizing a surety company which is on the United States
Department of Treasury's Listing of Approved Sureties as required in the bid
specifications or contract.
(iv) _ List of projects of similar size and scope of work performed in all areas, including
the State of Indiana, within the last three (3) years.
06-18-2018 Contractor's Bid for Public Works - 14
PRE -QUALIFICATION CHECKLIST (FOR BIDDERS THAT ARE NOT PRE -QUALIFIED)
(a) Acknowledgements
(i) x By checking this box, I hereby acknowledge that I am not a pre -
qualified bidder with the City of South Bend.
(ii) x By checking this box, I hereby acknowledge that the City reserves
the right to request supplemental information, additional verification
of any information provided, and may also conduct random inquiries of my
current and prior customers. The City reserved the right to utilize all information
provided in this submission and all information obtained in inquiries or requests
to determine if a bidder is responsive and responsible. Additionally, I
acknowledge that all information provided to the City shall be regarded as public
records.
(iii) x By checking this box, I hereby acknowledge that copies of all
Applicable apprenticeship certificates or standards for training programs
applicable to the work performed on the project may be requested at any time
and shall be furnished upon request.
(Iv) x By checking this box, I hereby acknowledge and ensure that I and all
sub -contractors, from whom I have accepted a bid and/or intend to hire to
perform work on the public work project, are properly licensed. Furthermore, I
acknowledge my understanding that it is my responsibility to ensure that all sub-
contractors have the necessary licenses to undertake the work called for In this
bid. If a sub -contractor loses their license at any point, it is the responsibility of
that sub -contractor to notify the City.
(b) Attachments
(I) X Indiana Secretary of State's on-line records (le. Business
verification) dated within sixty (60) days of the submission of said document
showing that business is in existence, current with the Indiana Secretary of
State's Business Entity Report, and eligible for a certificate of good standing.
(Not applicable to individuals, sole proprietors or partnerships).
(ii) x List identifying all former business names.
(III) x Any determinations by a court or governmental agency any
violations of federal state, or local laws including, but not limited to, violations of
contracting or antitrust laws, tax or licensing laws, environmental laws,
Occupational Safety and Health Act (OSHA), or federal Davis -Bacon and related
Acts, within the preceding five (5) years.
(Iv) x Statement about staffing capabilities, including labor sources. This statement
indicates and ensures I have sufficient employees on staff to complete the work I
am bidding on OR outlines how I intend to meet the staffing needs of the work.
(v) x Statement that individuals who will perform work on the public work
project on my behalf will be properly classified as an employee or as an
independent contractor under all applicable state and federal laws and local
ordinances.
(vi) x Evidence of participation in apprenticeship and training programs,
applicable to the work to be performed on the project, which are approved by and
registered with the United States Department of Labor's Office of Apprenticeship,
or its successor organization.
(vii) x Copy of a written plan for employee drug testing that covers all of my
employees who will perform work on the public work project and meets or
exceeds the requirements set forth in IC 4-13-18-5 or IC 4-13-18-6.
(vill) x Evidence that I am utilizing a surety company which is on the Bureau
of Fiscal Service "Department of Treasury's Listing of Approved Sureties" as
required in the bid specifications or contract.
(ix) x Written statement of any federal, state or local tax liens or tax
delinquencies owed to any federal, state or local taxing body in the preceding
three years.
(x) x List of projects of similar size and scope of work performed in all
06-18-2018 Contractor's Bid for Public Works -15
areas, including the State of Indiana, within three (3) years prior to the date on
which the bid is due.
Date; August 28, 2018
ae-lvlr�
(Sign Here)
Eric Brown
(Print Name Here)
Brown & Brown General Contractors, Inc.
(Name of Company)
124 S. Elkhart St., PO Box 487
(Address of Company)
Wakarusa
(City)
Indiana
(State)
574-862-2171
(Telephone Number)
06-18-2018 Contractor's Bid for Public Works -16
MUMLOC -Raja
Arown and I x'own
OUERAL CONTRACTORS [Pic.
124 S. ELKHART ST.
P.O. BOX 487
WAKARUSA, INDIANA 46573•0487
PHONE:1574) 062.2171 FAX: 15741 862.3930
VOLUNTARY ALTERNATE.
Revise base bid building to have galvalume finish roof panels in lieu of painted roof
panels and revise clear height to be 13'-1" in lieu of 14'-0". DEDUCT $14,000.00
Arown and I morn
C,ENERAL C0NTRgCT0RS 1NC.
124 S. ELKHART ST.
P.D. BOX 487
WAKARUSA, INDIANA 46573-4487
PHONE: (574) 862.2171 FAX: (574) 862.3930
Re: VPA Maintenance Storage Building
Pre -qualification checklist (for bidders that are not pre -qualified)
Attachments:
(i) Secretary of State online record is attached
(ii) List of former business names - there are none
(iii) No court determinations
(iv) Staffing capabilities is attached
(v) Statement of individuals who will perform work on the project is attached
(vi) Evidence of apprenticeship participation is attached
(vii) Written plan for drug testing is attached
(viii) Surety company information is attached
(ix) Written statement of any federal, state or local tax liens is attached
(x) List of similar projects is attached
bilm :C -1040
Arown arid. I rown
G E 1V E RAL C0 MTRACTO R S I IV C.
124 S. ELKHAAT ST.
P.O. BOX 487
WAKAAUSA, INDIA111A 46573.0487
PHDIVE: 1574) 662.2171 FAX: 1574) 662.3930
Staffing capabilities
Eric Brown, President
Project Managers: Bradley Romine, Todd Marek
Site superintendents: Eric Romine, Adam Loucks, Matt Hilty, Rick Rittenhouse,
James Downing
Labor sources: Union 413 Carpenters, Union 101 Cement Finishers, Union 91
Painters & Tapers
011VAUC 10.30
10
I r°own and I rown
0%6N E Fk A L C 0 M T A A U O P 8 I N C.
124 S. ELKHART Si.
P.O. BOX 487
WAKARUSA, INDIANA 46573•0487
PHONE: 15741 662.2171 FAX: (5741 1162.3030
Statement
(v) We hereby certify that individuals who will perform work on the public work
project on our behalf will be properly classified as an employee or as an
independent contractor under all applicable state and federal laws and local
ordinances.
(ix) We have no federal, state and local tax liens or tax delinquencies.
BUSINESS INFORMATION
CONNIE LAWSON
INDIANA SECRETARY OF STATE
08/13/2018 08:37 Alva
Business Name: BROWN & BROWN GENERAL Business ID: 194303-158
CONTRACTORS INC
Entity Type: Domestic For -Profit Corporation Business Status: Active
Inactive Date:
Expiration Date: Perpetual
Business Entity Report Due 06/30/2020
Date:
Years Due:
Creation Date: 06/02/1960
Principal Office Address: 124 S. Elkhart St., Wakarusa, IN, 46573 -
0487, USA
Jurisdiction of Formation: Indiana
Title Name Address
Secretary Hannah M Aitken PO Box 487, WAKARUSA, IN, 46573, USA
President Eric Brown PO Box 487, WAKARUSA, IN, 46573, USA
Type: Individual
Name: MARITA KREPS
Address: 124 S. ELKHART ST., WAKARUSA, IN, 46573 - 0487, USA
MIANAMENTUCKY/01110 REGIONAL COUNCIL OF CARPENTERS
JOINTAPPRENTICESH11' ANT) TRAINING FUND Alffl.
1095 MARINERS DRIVE
WARSAW, li 46582
ADMINISTRXf ION OFFICE
711(3yeenwood Springs Drive
Greenwooa IN 46143
Phone: 317-807-1112
Fax: 317-8,07-1115
Ashland Campus
574 Carpenters Way
Grayson, KY 41143
I'lione: 606-929-1378
IF= 502-996-8108
Indianapolis Campus
August 16, 2018
711 Greenwood Sprirgs Drive
Orcenwood, IN 46143
Phone: 3 17-807-1116
F= 317.807-1131
Brown & Brown General Contractor
Lafayette Campus
P.O. ox 487 B
2953 South Creasy Lane
Lafayette, IN 47905
Wakarusa, IN 46573
Pho= 765-447-5959
Fax: 745-447-7670
RE: City of South Bend Bid
Louisville Campus
1245 Durrett Gone
To Whom lit May Concern:
Louisville, KY 40213
Phone; 502-366-8668
Fax: 502-366-8678
This letter is In response to verification needed by Brown & Brown for work to be
performed for the City of South Bend/VPA maintenance storage building project. Brown
Merrillville Campus
1565 liast 70th Court
& Brown regularly employs a number of apprentices affiliated with our apprenticeship
Merril Mile, IN 46410
program and has done so for more than three years. We are registered with the United
li 219-947-3348
States Department of Labor, Bureau of Apprenticeship and Training and our registration
Fax, 219-947-1889
number Is 020 0537. Our program also participates In the Building Trades Associate,
Muncie Canipuv
Degree Program with Ivy Tech Community College and has done so since 1996,
4121 East Centenoiail Avenue
Muncie, IN 47303
llhonw 765-288-90115
Brown & Brown is, a bona fide contractor in good standing with the
Fax: 765-288-9298
Ind iaina/Kentucky/Oh to Regional Council of Carpenters Joint Aprwenticeship and
Training Fund and is eligible to employ apprentice carpenters In the future. I have
Newburgh Campus
5400 Covert Court
enclosed copies of our certificates from the United States Department of Labor and
Newburgh, IN 41630
from the Indiana Department of Veterans Affairs for GI educational benefits.
Phone: 812-853-9312
Fax: 8 12-853-9316
If I can be of further assistance, please do not hesitate to give me a call.
Torre Haute campus
3099 South 61h Strect
Best regards,
Terre Haute, IN 47802
Phoile: 817466-7899
Fax:812-466-9R40
Warsaw Cumpus
1095 Marinars Wye
Dale Newlin
Warsaw, IN 40582
Area Coordinator
Phone: 574-267-5264
IKORCC JATF
Faix: 574-269.[464
Warsaw Campus
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Plasterers' & Cement Masons'
Apprentice Coordinator
of
Local Union #692
Phone 317-508-1609
Email hansen@p1cmloca169Zorg
a 1044M
TO WHOM IT MAY CONCERN,
AUGUST 27, 2018
THIS LETTER IS TO CERTIFY THAT BROWN & BROWN GC HAS BEEN A SIGNATORY UNION CONTRACTOR
WITH THE PLASTERERS` AND CEMENT MASONS' JOINT APPRENTICESHIP TRAINING PROGRAM OF LOCAL
692, FOR AT LEAST THE LAST FIVE YEARS, AND IS IN GOOD STANDING.
THEY HAVE A SIGNED CONTRACT WITH LOCAL 692 AND ARE ELIGIBLE TO USE UNION PLASTERERS'
APPRENTICES AND UNION CEMENT MASONS' APPRENTICES. THROUGH THIS CONTRACT AND OTHERS,
THE FINANCIAL OBLIGATIONS OF TRAINING AND SAFETY ISSUES ARE MET.
ALL OF THE APPRENTICES ARE REGISTERED WITH THE UNITED STATES DEPARTMENT OF LABOR, BUREAU
OF APPRENTICESHIP AND TRAINING.
SINCERELY,
PAT HANSEN
APPRENTICESHIP COORDINATOR FOR LOCAL 692
220 N. FWton St.
Indianapolis, IN 46202
U.S. Department of Labor
46 East Ohio St. — Room 511 Phone: 317/226-7001
Indianapolis, IN 46204 Fax: 317/226-7015
OFFICE OF APPRENTICESHIP
Employment and Training Administration
Mr. Pat Hansen. Coordinator
Plasterers & C'emem Masons Local 4692 7ATC
(mailing)220 N. Fulton Street, Indianapolis, IN 46202
(school) 9200 Louisiaiin Street Merrillville; IN 46410
Re: EEO Compliance review (and Quality Assessment)
Dear Mr. Hansen;
Our recent EEC) Compliance Review (anal Quality Assessment) of your registered
apprenticeship program, Plasterers & Cement Masons Local #692 1ATC was conducted on
April 11, 2017 and October 5, 2016. This review covered the time period 08/15/20-15
(date of your last review) through 10/04/2016. We are writing to inform you that our
office found no apparent violations of the requirements governing registered
apprenticeship programs as set forth in regulations at 29 CFR fart 29, „Labor Standards
for the Registration of Apprenticeship Programs," and Part 30, "Equal Employment
Opportunity in Apprenticeship and Training."
Based on our review, it appears that your apprenticeship program is making good faith
efforts to comply with the requirements of 29 CFR Parts 29 and 30. We note, however,
that despite these efforts, there exists underutilization of women and minorities in your
apprenticeship program and skilled workforce, including journeyworkers. Please be
aware that Plasterers & Cement Masotis Local #692 JA'1TC; remains under an obligation,
pursuant to the regulations at 29 CF=R fart 30 to continue with its good faith efforts to
increase participation of women in its Registered Apprenticeship program.
We sincerely appreciate the cooperation and courtesies extended by you and your office
to the Department of Labor while we conducted the compliance review. If you have
any questions or concerns, please do not hesitate to call. I can be reached at (317) 226-
7003.
5inc&C,ly, fir'
!_
John Delgado '
State Director
cc: Kathleen Sokolowski, ATR
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August 16, 2018
I J i
RE: Brown & Brown General Contractors, Inc.
To Whom It May Concern:
In compliance with the United States Department of Treasury's Listing of Certified
Companies, this letter will serve to confirm that at this time the surety company
Philadelphia Indemnity Insurance Company is listed with the United States
Department of Treasury's Listing of Approved Sureties according to Department
Circular 570.
PHILADELPHIA INDEMNITY INSURANCE COMPANY
Jennifer L. Kaszriia
Attorney in Fact
jIkJ
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9
w%v%v.G1bsoaIns.coin
((8))
t (000) 814-2t22
1 (000) 836-2122
I
South Bend, IN
Plymouth, IN
I ndlanapahs, IN
Fort Wayne, IN
Elkhart, IN
Kalamazoo, MI
K R&
PHILADELPHIA INDEMNITY INSURANCE COMPANY
One Bala Plaza, Suite I OO
Bala Cynwyd, PA 19004-0950
Power of Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That P141LADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Barbara Pearson, Jordan Seltetber, jenniferKasgula, Mark
Wobbe, Me an Rieseriberg, Nicole Bicknell, Sandra Junk Theresa Burns, Wesley Mantooth, William Cerney III and Cheryl Alkire of Gibson Insurance
Agency, Inc. its true and lawful Attorney -in -fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity
and writings obligatory in the nature thereof, issued in the course of its business and to bind tire Company thereby, in an amount not to exceed $100,000,000,00.
This Power of Attorney is granted and is signed and sealed by facsimile under and by tire authority of the following Resolution adopted by the Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 10 of November, 2016.
RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company: (1) Appoint Attorney(s) in Fact and authorize the Attorney(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof and to attach the seal of the Company
(hereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the
authority given, And, be it
FURTHER
RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and binding upon the Company in the future with respect to any bond or
undertaking to which it is attached,
IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS
CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 27 T" DAY OF OCTOBER, 2017.
S,
27,
F
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 27" day of October, 2017, before me came the individual who executed the preceding instrument, to are personally known, and being by me duty sworn said
that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is
the Corporate seal of said Company; that the said Corporate Seat and his signature were duly affixed.
C61A)AUNWEALtH OF PENNSY1 V"I&
NOTAWALSEAL
.My
Notary Public:
residing at:
(Notary Seal)
My commission expires:
Bala Cynwyd, PA
September 25, 2021
1, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of tire Board of
Directors and the Power of Attorney issued pursuant thereto on the 27'h day of October, 2017 are true and correct and are still in full force and effect. I do further certify
that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President
of PHILADELPHIA INDEMNITY INSURANCE COMPANY.
InTestimony Whereof I have subscribed my name and affixed the facsimile seat of each Company this day of 20 4
Edward Sayago, Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
ACCEPTANCE
The above bid is accepted this day of , subject to the
following conditions:
Contracting Authority Members:
PART II
(For projects of $150,000 or more — !C 36-1-12-4)
Governmental Unit: City of South Bend, Board of Public Works
Bidder (Firm) Brown & Brown General Contractors, Inc.
Date (month, day, year). August 14, 2018
These statements to be submitted under oath by each bidder with and as a part of his bid.
Attach additional pages for each section as needed.
SECTION I EXPERIENCE QUESTIONNAIRE
1. What public works projects has your organization completed for the period of one (1) year prior to the
date of the current bid?
Contract Amount
Class of Work
Completion
Date
Name and Address of Owner
3,481,450.00
renovation
2017
Indiana University, Bloomington, IN
979,398.00
renovation
2016
Elkhart Public Library, Elkhart, IN
557,494.00
general trades
2017
Watervliet Public schools, Watervliet, MI
3,254,451.00
renovation
2017
Indiana University, Bloomington,IN
What public works projects are now in process of construction by your organization?
Contract Amount
Class of Work
Expected
Completion
Date
Name and Address of Owner
1,160,200.00
renovation/add
2018
Elkhart Comm. Schools, Elkhart, IN
6,104,700.00
general construction
2018
WaNee Community Schools, Nappanee, IN
1,141,066.00
new
2018
Walkerton Lincoln Twp Library, Walkerton, IN
385,000.00
new
2018
Town of North Liberty, North Liberty, IN
3. Have you ever failed to complete any work awarded to you? no If so, where and why?
List references from private firms for which you have performed work.
Dick Belcher, First Federal Savings Bank, Rochester, IN
John Metzger, Culver Duck Farm, Middlebury, IN
Jeff Ewing, 2nd AP Company L.P., Woburn, MA
Samantha Hale, Holladay Properties, South Bend, IN
Patti Toering, Matthews LLC, Notre Dame, IN
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when
you could begin work, complete the project, number of workers, etc. and any other information which you
believe would enable the governmental unit to consider your bid.)
All work to be completed in a professional, workmanlike manner according to applicable
plans, specifications and addendum.
2, Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm
who have performed part of the work) that you have used on public works projects during the past five (5)
years along with a brief description of the work done by each subcontractor.
Art Mosaic & Tile, South Bend, IN - specialized floor finishes
Interior Finishes, South Bend, IN - floor finishes
Edward J. White, South Bend, IN - mechanical
DeMuyt Masonry, Rome City, IN - masonry
Martell Electric, South Bend, IN - electrical
3. If you intend to sublet any portion of the work, state the name and address of each subcontractor,
equipment to be used by the subcontractor, and whether you will require a bond. However, if you are
unable to currently provide a listing, please understand a listing must be provided prior to contract
approval. Until the completion of the proposed project, you are under a continuing obligation to
immediately notify the governmental unit in the event that you subsequently determine that you will use a
subcontractor on the proposed project.
Names and addresses of subcontractors to be furnished as specifications require.
Equipment to be used by them is unknown to us.
Bonds from subcontractors to be determined
4. What equipment do you have available to use for the proposed project? Any equipment to be used by
subcontractors may also be required to be listed by the governmental unit.
Trucks, skid loaders; anything else we do not have will be rented.
5. Have you entered into contracts or received offers for all materials which substantiate the prices used in
preparing your proposal? If not, please explain the rationale used which would corroborate the prices
listed.
Yes
SECTION III CONTRACTOR'S FINANCIAL STATEMENT
Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial
statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to
the governing body awarding the contract must be specific enough in detail so that said governing body can make
a proper determination of the bidder's capability for completing the project if awarded.
BUILDING & CONSTRUCTION
RESOURCE CENTER, INCw
DRUG & ALCOHOL
POLICY
NORTHWEST INDIANA
Promoting the Safety
and
Well -Being
of
Employes in the Workplace
PARTICIPATING UNION CRAFTS
• BRICKLAYERS
• CARPENTERS
• IBEW
• IRONWORKERS
• LABORERS
• -MILLWRIGHTS
* OPERATING ENGINEERS
• PAINTERS
• PIPEFITTERS
,*PLUMBERS
• ROOFERS
• SHEETMETAL WORKERS
• TEAMSTERS
• TECHNICAL ENGINEERS
• PLASTERERS AND CEMENT MASONS
• GLAZIERS
This Policy has been approved by the
Northwest Tndinnn Rivrinc-cc
BUILDING &
CONSTRUCTION
RESOURCE CENTER, INC.
6050 Southport Road, Suite B
Portage, Indiana 46368
Telephone: (219) 764-9500
Toll Free: (877) 988-5400
Fax: (219) 764-9505
Website: BCRCNet.com-
Jim Bohlen
Executive Director
Your Employee Assistance Program (EAP):
PERSPECTIVES (800) 456-6327
Poliev Revision January 1. 2006
INDEX PAGE
Introduction
The Policy
Definitions
4
Drug Testing
11
Drug Group
13
Alcohol Testing
13
Payment for Testing
14
Initial Testing {Pre -Employment)
15
Random Testing
15
Probable Cause Testing
16
Post-Accident/Incident Testing
17
"Emergency" Work Assignment
18
Card System
19
Status Confirmation
19
Insufficient Specimen
20
Diluted Specimen
20
Adulterated, Substituted, and/or
Out -of -Temperature Range Specimen.
21
Consequences for a Positive Test
2I
Return -To -Duty Testing
23
Follow-up Testing
23
Disputed Positive Results
23
Appeals and Protections
24
Letters of Notice for Random Testing
Attachment A - General Trades 25
Attachment B - Non -Bargaining 26
Attachment C - Pipe Fitters 27
Attachments I & 11 28-29
BUILDING AND CONSTRUCTION.
RESOURCE CENTER, INC.
INTRODUCTION
The labor and management representatives of The Building and
Construction Industry for Northwest Indiana have formed an
alliance to address the problems caused by drug and alcohol
abuse. Management and labor have created the Building and
Construction Resource Center (hereafter "BCRC") an
independent not -for -profit corporation which offers a wide range
of services to its employees in the unionized construction
industry, which include employers, labor union organizations,
construction industry and related workers. It is BCRC's goal to
assist employers to establish and maintain workplaces that are
free of the destructive effects caused when employees use drugs
and/or abuse alcohol. BCRC's activities are not intended to
interfere normal practices of the unions or management.
BCRC recognizes its responsibility to communicate with and
educate its employees relative to this policy, as well as the
harmful effects of drugs and alcohol in our society and in the
workplace. BCRC also recognizes the need to provide a program
of assistance to those persons for whom drugs or alcohol may be
causing problems. Finally, while. not wishing to violate the rights
or invade the privacy of any employee, BCRC's drug testing
program will seek to identify those employees who are unable or
unwilling to conform to BCRC's program. This program has
been established in accordance with federal guidelines for
specimen collection, laboratory analysis and review, and
standards of integrity and confidentiality.
THE POLICY
Persons who use illegal drugs or abuse alcohol or other controlled
substances, on or off their jobs, are likely to be less productive, to
be less reliable, to be more frequently absent, and to have other
1
work related problems that can cause increased cost, delays,
accidents, and injuries. These employees can also damage the
health, safety and well-being of other workers on the job. The
unionized construction industry can control and reduce this
problem through recognition of the problem, development of a
comprehensive policy and program of education and information,
promotion of an assistance program, and implementation of fair
and respectful drug testing that conforms to federal guidelines for
specimen collection and analysis. All of this is to be done with
the utmost confidentiality and respect for the individual.
In order to enhance substance abuse awareness among all
employees, educational seminars and training programs will be
offered. The educational seminars will be directed toward
education about the seriousness of the nationwide problem of
drug and alcohol abuse, and how the use of drugs and alcohol
negatively impacts safety, productivity, and the competitive
ability of the American workforce.
Supervisors will be trained to identify employees in potentially
difficult situations, and to recognize signs of impairment, as well
as the supervisors' responsibility to document, intervene and
follow up with the troubled individual. These sessions will be
offered as ongoing training programs.
BCRC encourages all employees troubled by their own, a family
member's drug, or alcohol abuse to seek professional care and
treatment. Early recognition and treatment of alcohol and drug
abuse provides the greatest opportunity for successful recovery.
BCRC provides an Employee Assistance Program (EAP) for all
employees and their families who need professional guidance in
assessing their substance abuse or alcohol -related problem and
choosing an appropriate course of treatment. Current employees
will be referred to an EAP representative as a result of a positive
drug test or alcohol or upon an individual's own request. In
either case, the content of the discussion with the EAP will be
0
protected and confidential, to the extent allowed by law. A
participant's use of the EAP is confidential and information will
not be released to BCRC or any of its subscribing organizations
or participants without written release from the participant in
accordance with the law. Employees who use the EAP as a
consequence of a positive drug or alcohol test will be subject to
the conditions established in the drug testing portion of this
policy.
The EAP staff has knowledge of the level and types of benefits
available to BCRC employees. Employees can access the
services of the EAP through a hotline that is staffed twenty-four
(24) hours a clay, seven (7) days a week, throughout the entire
year. Employees calling the EAP hotline are put in touch with a
counselor who will conduct a professional assessment and who
may meet with them to further assess the nature of the problem in
order to provide a referral to the best and most appropriate level
of care. The EAP is staffed by certified and credentialed human
services professionals who are sensitive to the needs of the
individual. Individuals who take the initiative to contact the EAP
for assistance do so with the assurance that their calls will be
treated -respectfully and confidentially. The direct services
provided by the EAP are sponsored by BCRC.
In compliance with Public Law 100-690 (The Drug -Free
Workplace Act), which applies only to employers who have
federal grants or federal contracts of more than $100,000, an
employee who is convicted of a workplace drug or alcohol
violation and who is employed by a BCRC affiliated employer
must report this information to his/her immediate supervisor no
later than five (5) days after such conviction. The supervisor must
report this information immediately to the employer's Program
Administrator.
DEFINITIONS
Adulterated specimen means a specimen that contains a
substance that is not expected to be present in human urine, or
contains a substance expected to be present but is at a
concentration so high that it is not consistent with human urine.
• Air blank means, in evidential breath testing devices (EBTs)
using gas chromatography technology, a reading of the device's
internal standard. In all other EBTs, a reading of ambient air
containing no alcohol.
• Alcohol means the intoxicating agent in beverage alcohol, ethyl
alcohol, or other low molecular weight alcohols including
methyl and isopropyl alcohol.
• Alcohol concentration (or content) means the alcohol in a
volume of breath expressed in terms of grams of alcohol per
210 liters of breath as indicated by an evidential breath test
under this policy (BrAC).
• Alcohol confirmation test means a subsequent test using an
EBT, following a screening test with a result of 4.04 or greater,
which provides quantitative data about the alcohol
concentration.
• Alcohol Screening Device ASD means a breath device, other
than an EBT, that is approved by the National Highway Traffic
Safety Administration (NHTSA) and placed on a conforming
products list (CPL) for such devices.
• Alcohol screenin test means an analytic procedure to
determine whether an employee may have a prohibited
concentration of alcohol in a breath specimen.
• Alcohol testing site means a place selected by the employer
where employees present themselves for the purpose of
providing breath for an alcohol test.
• AIcohol use means the drinking or swallowing of any beverage,
liquid mixture or preparation (including any medication),
containing alcohol.
• Applicant means a person, independent contractor, or employer,
or person working for an independent contractor, or employer
0
who applies to become an employee of a BCRC contractor/
employer participant, and includes a person who has received a
job offer made contingent on the person passing a drug test.
• Association means Building and Construction Resource Center,
which is the association formed by labor and management
representatives of the building and construction industry for
Northwest Indiana, for the purpose of addressing problems of
drugs and alcohol in the workplace.
• Blind specimen or blind performance test specimen means a
specimen submitted to a laboratory for quality control testing
purposes, with a fictitious identifier, so that the laboratory
cannot distinguish it from an employee specimen.
• Breath Alcohol Technician BAT is a person who instructs
and assists employees in the alcohol testing process and
operates an Evidential Breath Testing device (EBT).
• Canceled test means a drug or alcohol test that has a problem
identified that cannot be or has not been corrected. A canceled
test is neither a positive nor a negative test. An employer is not
permitted to take adverse job action based on a canceled test.
• Card Manager is the individual designated by each employer
who has the authority to access data information that will
confirm the status of employees through the call -in system,
through the BCRC scanner by swiping employees'
identification cards, or by electronic e-mail.
• Chain ofSp5tody means the procedure used to document the
handling of the specimen from the time the employee gives the
specimen to the collector until the specimen is destroyed.
• Collection container means a container into which the
employee urinates to provide the specimen for a drug test.
• Collections site means a place designated by BCRC where
individuals present themselves for the purpose of providing a
specimen to be analyzed for the presence of controlled
substances, or for purposes of providing breath sample to be
analyzed for alcohol concentration.
• Collector means a person who instructs and assists employees
at a collection site, who receives and makes an initial inspection
5
of the specimen provided by those employees, and who initiates
and completes necessary forms.
• Company means an employer who is a member of Building and
Construction Resource Center.
• Confirmation (or confirmatory) drug test means a second {?)
analytical procedure performed on a urine specimen to identify
and quantify the presence of a specific drug or drug metabolite.
• Confirmation (or confirmato y) validitytest means a second
test performed on a urine specimen to further support a validity
test result.
• Confirmed drug test means a confirmation test result received
by an MRO from a laboratory.
• Confirmatory test
a) For alcohol testing, a confirmatory test is a second test
following a screening test with a result of 0.02 or greater,
conducted 15-30 minutes later, that provides quantitative
data of alcohol concentration. This test is conducted on an
EBT.
b) For controlled ,substances testing, a confirmatory test is a
second analytical procedure to identify the presence of a
specific drug or metabolite. This confirmatory test is
independent of the initial test and uses a different technique
and chemical principle from that of the screening test in
order to ensure reliability and accuracy.
• Contractor participant means an employer who is a
contributing member of Building and Construction_ Resource
Center
• Controlled Substance means marijuana (THC), cocaine,
opiates, phencyclidine (PCP), amphetamines (including
methamphetamines), barbiturates, benzodiazepine,
propoxyphene, methadone and ecstasy.
• DHHS means the Department of Health and Human Services or
any designee of the Secretary, Department of Health and
Human Services.
• DHHS-approved laboratory means a laboratory that is
certified by the U.S. Department of Health and Human
Services. Drug tests under this program will be performed by a
DHHS-certified laboratory.
• Designated Employer Representative DER means the
Human Resource Manager. Card Manager, Program
Administrator or similar designee of each employer who shall
receive necessary communications related to this program.
• Dilute specimen means a specimen with creatinine and specific
gravity values that are lower than expected for human urine.
• DOT means U.S. Department of Transportation. Many of
DOT's standards and procedures related to drug and alcohol
testing are mirrored in BCRC'Ls drug and alcohol policy.
• Drugs mean the substances for which tests are required under
this policy and include marijuana (THC), cocaine,
amphetamines (including methamphetamines), phencyclidine
(PCP), opiates, barbiturates, benzodiazepine, propoxyphene,
methadone and ecstasy.
• Drug test means a test conducted for controlled substances.
• Employee means an employee of a company, or of a
contractor/employer participant who is a member of Building
and Construction Resource Center.
Employee Assistance Program (EAP) Counselor means a
masters -level professional with an education in psychology,
social work, counseling, etc. with knowledge of and clinical
experience in diagnosis and treatment of alcohol and controlled
substance related disorders. The EAP will assess and make
recommendations concerning education, treatment, follow-up
testing and aftercare.
• Employer means a company, or a contractor/employer
participant, who is a member of Building and Construction
Resource Center.
• Evidential Breath Testing Device (EBT) means a device
approved by NHTSA for the evidential testing of breath at .04
alcohol concentrations, placed on NHTSA's Conforming
Products List (CPL) for "Evidential Breath Measurement
Devices" and identified on the CPL as conforming with the
model specifications available from NHTSA's Traffic Safety
Program.
First occurrence Clause means if an employee does not report
for a random test, and it is the first time the employee has failed
to report, the Third Party Administrator (TPA) may allow the
employee to take the test without reporting to the EAP for
further review. Employees may utilize this clause only one
time.
• Initial test ffor drugs) means an immunoassay screen to
eliminate negative urine specimens from further consideration.
• Initial validity test means the first test used to determine if a
specimen is adulterated, diluted, or substituted.
• Invalid ft-p. test means the result of a drug test for a urine
specimen that contains an unidentified adulterant or an
unidentified interfering substance, has abnormal physical
characteristics, or has an endogenous substance at an abnormal
concentration that prevents the laboratory from completing or
obtaining a valid drug test result.
• Laboratory means a U.S. laboratory certified by DHHS under
the National Laboratory Certification Program as meeting the
minimum standards of Subpart C of the DHHS Mandatory
Guidelines for Federal Workplace Drug Testing Programs.
Licensed medical ractitioner means a person who is licensed,
certified, and/or registered, in accordance with applicable
Federal, State, local, or foreign laws and regulations, to
prescribe controlled substances and other drugs.
• Medical Review Officer means a licensed physician
responsible for receiving laboratory results generated by
BCRC's drug testing program who has knowledge of substance
abuse disorders and who has appropriate medical training to
interpret and evaluate an individual's confirmed positive test
result together with his/her medical history and any other
relevant biomedical information.
• Positive Test alcohol occurs when an employee's
confirmatory test result reads 0.04% BrAC or higher.
• Positive Test drug) occurs when an employee's confirmatory
0
test or retest result is at or above cutoff levels specified by
DHHS and has been verified by the MRO to be a positive test.
• Program Administrator means the individual who has
administrative responsibilities for overseeing the drug and
alcohol testing program for an employer. The Program
Administrator may serve as an employer's DER.
• Property means all employer -owned and/or -leased property,
including but not limited to owned and/or leased buildings and
other real estate, parking Iots and vehicles located on parking
lots, and employer -owned and/or -leased vehicles, lockers,
tools, equipment and desks.
• Random selection means a scientifically valid method for
selection of employees to be tested that result in an equal
probability that any employee from a group of employees
subject to the selection mechanism will be selected, and does
not give an employer discretion to waive the selection of any
employee under the mechanism.. Thus, an employee may not
be selected more than twice *(2) during a year.
• Refuse to submit to an alcohol or controlled substances test
means that an employee:
0 Fails(ed) to appear for any test (except a pre -employment
test) within a reasonable time, as determined by the policy,
after being directed to do so by the policy;
0 Fails(ed) to remain at the testing site until the testing process
is complete;
0 Fails(ed) to provide a urine specimen for any drug test
required by this policy;
0 In the case of a directly observed or monitored collection in a
drug test, fails to permit the observation or monitoring of the
employee's provision of a specimen;
0 Fails(ed) to provide a sufficient amount of urine when
directed, and it has been determined, through a required
medical evaluation, that there was no acceptable medical
explanation for the failure;
0 Fails(ed) or declines to take a second test the employer or
collector has directed the employee to take;
0 FaiIs(ed) to undergo a medical examination or evaluation, as
directed by the MRO as part of the verification process, or as
directed by the policy. In the case of a pre -employment drug
test, the employee is deemed to have refused to test on this
basis only if the pre -employment test is conducted following
a contingent offer of employment;
0 Fails(ed) to cooperate with any part of the testing process
(e.g., refuse to empty pockets when so directed by the
collector, behaves in a confrontational way that disrupts the
collection process, provides incorrect or inaccurate
information to the collection site or on necessary forms, or
fails to complete all documents);
0 Provides a second (2) specimen that is diluted
• Screening test for initial test? means:
0 In drug testing, a test to eliminate "negative" urine
specimens from further analysis or to identify a specimen
that requires additional testing for the presence of drugs.
0 In alcohol testing, an analytical procedure to determine
whether an employee may have a prohibited concentration of
alcohol in a breath specimen.
• Screening Test Technician (STT1 means a person who instructs
and assists employees in the alcohol testing process and
operates an Alcohol Screening Device (ASD).
• Shipping Container means a container that is used for
transporting and protecting urine specimen bottles and
associated documents from the collection site to the laboratory.
• Specimen means a sample of urine, used for analysis and/or
diagnosis. For the purpose of this policy; specimen is defined
as urine.
Specimen bottle means the bottle that, after being sealed and
labeled according to the procedures in this policy, is used to
hold the urine specimen during transportation to the laboratory.
• Split specimen means a part of the urine specimen that is sent
to a first laboratory and retained unopened, and which is
transported to a second laboratory in the event that the
employee requests that it be tested following a verified positive
test of the primary specimen or a verified adulterated or
substituted test result.
• Substituted specimen means a specimen with creatinine and
specific gravity values that are so diminished that they are not
consistent with human urine.
• Testing levels means levels at or above when a specimen is
determined to be positive, and below when a specimen is
determined to be negative.
• Third Party Administrator (TPA) means an entity that
provides or coordinates one or more drug and/or alcohol testing
services to employers. A TPA typically provides or coordinates
the provision of a number of such services and performs
administrative tasks concerning the operation of drug and
alcohol testing programs for employers. This term includes, but
is not limited to, groups of employers who join together to
administer, as a single entity, the drug and alcohol testing
programs of its members (e.g., having a combined random
testing pool),
• 'Verified test means a drug test result or validity testing result
from a DHHS-certified laboratory that has undergone review
and final determination by the MRO.
DRUG TESTING
BCRC will provide an identification card to each participant
which will reflect the results of the Drug & Alcohol Screen Test
from the laboratory and as confirmed by the Medical Review
Officer (MRO). To implement an appropriate and acceptable
program, BCRC has adopted six (6) safeguards that reflect the
standards established by the U.S. Department of Health and
Human Services (DHHS) Substance Abuse and Mental Health
Services Administration (SAMHSA) for testing mandated by the
U.S. Department of Transportation. Those safeguards are as
follows:
1. The integrity of collected urine specimens will be ensured by
utilization of one collection procedure at all sites. Samples
11
will be collected in accordance with federal standards that
provide for a continuous chain of custody and which
recognize privacy concerns regarding the individuals being
tested.
2. Testing will be conducted only by accredited labs that have
obtained and retained DHHS certification.
3. All specimens that are positive in an initial screen. must then
be confirmed by as chromatoraphy/mass spectrometry
g
(GC/MS). GC/MS confirmation is the state-of-the-art drug
testing technology, providing a fingerprint of the detected
drug.
4. A Medical Review Officer (MRO) will review all drug test
positives prior to verification of positive test results. The
MRO is a physician with specialty -training and expertise in
substance abuse and drug testing. The MRO will review
confirmed positive test results to ensure proper procedure,
protocol, and reporting. The MRO will interview the
individual who has a confirmed positive test result by
telephone to investigate whether a legal prescription has
caused the specimen to test positive. If the individual has no
legal prescription, the MRO will take appropriate steps to
report a verified positive to the BCRC-Program
Administrator, who will then invalidate the employee's
certification card. All persons who have tested positive must
have their return to work cleared by the EAR
5. All positive ,specimens will be retained frozen in a locked
facility at the testing laboratory for one (1) year. The retained
specimens will be available should the results of that test be
disputed or should arbitration or litigation arise out of the
actions taken because of the test results.
b. On a periodic basis, BCRC will submit blind pre -tested urine
samples with appropriate documentation to the drug testing
laboratory as a means of assuring itself of laboratory
proficiency.
DRUG GROUP
The drug -testing program will test for the following drugs at these
levels:
Initial
Confirmatory
Analyte
Screening
Test
Amphetamines
1000 ng/mL
500 ng/mL
Cocaine
300 ng/mL
150 ng/mL
Marijuana
50 ng/mL
15 ng/mL
Opiates
2000 ng/mL
2000 ng/mL
Phencyclidine
25 ng/mL
25 ng/mL
Barbiturates
300 ng/mL
200 ng/mL
Benzodiazepines
300 ng/mL
200 ng/mL
Methadone
300 ng/mL
200 ng/mL
Propoxyphene
300 ng/mL
200 ng/mL
MDA-Analogues (Ecstasy)
250 ng/mL
200 ng/mL
ALCOHOL TESTING
1. Alcohol tests (screening and confirmatory) will be performed
on a device that appears on the National Highway Traffic
Safety Administration's (NHTSA) Conforming Products List
(CPL) and that meets the DOT's testing requirements.
2. When a specific time for an employee's test has been
scheduled, and the employee does not appear at the collection
site at the scheduled time, the Breath Alcohol Technician (BAT)
will contact the Designated Employer Representative (DER),
who may determine that the employee has refused to be tested.
3. For alcohol testing (screening and confirmatory), a breath
sample will be collected and analyzed by a Breath Alcohol
Technician (BAT) using.an Evidential Breath Testing device
(EBT). For the screening test, a breath sample may be
collected by the Screening Test Technician (STT), using an
Alcohol Screening Device (ASD).
4. If the result of the screening test indicates an alcohol
concentration of 0.02 or greater, a Breath Alcohol Technician
13
(BAT) will perform a confirmatory test, no less than fifteen (15)
and no more than thirty (30) minutes after the completion of the
screening test.
5. If the confirmatory test is positive (0.04 and above, BrAC), the
Breath Alcohol Technician (BAT) shall immediately notify the
BCRC/Employers DER.
6. Results of additional tests arranged by an employee, or
requested by a medical practitioner, will not be considered.
This includes testing of blood samples, hair samples, DNA, or
any other testing methods or protocols.
PAYMENT FOR TESTING
Costs related to drug and alcohol testing will be borne by the
program.except for re -testing of disputed test results by an
employee. The issue of payment for the employee's time will be
categorized as follows:
1. For new or current union members or employees seeking an
initial test, the test is a condition of employment, and
employees in the BCRC Program will not be paid for their
time in providing a specimen for the initial test.
2. All current employees who are to test for any of the
following:Late Random, Probable Cause, Post -Accident,
Diluted Re -Test, Return -to -Duty, or Follow-up Testing or
Retest due to a flawed or rejected test, will not be paid for
their time in providing a specimen for the test.
3. Employees will be paid a (forty -dollar) $40 stipend by the
program for the time necessary to secure subsequent random
testing required by the program. It is understood that such
testing will occur on the employee's time. Test to be taken
with seven (7) days of notice.
4. Non -Bargaining and Pipe fitter's; trade code 14 are exempt
from the stipend reimbursement.
14
INITIAL TESTING PRE -EMPLOYMENT
Prospective employees and current employees of BCRC affiliated
employers will be subject to the BCRC program. All persons
who are eligible and who intend to obtain a BCRC card will be
instructed to report to an approved BCRC collection site and to
provide a urine specimen for initial (pre -employment) testing and
a clear status before starting work for any participating employer.
The individual will be directed by BCRC or by their employer, to
report to a BCRC approved collection site location. These
selected collection sites will have collection kits, chain -of -custody
forms, and all other necessary supplies.
RANDOM TESTING
After the individual's completion of the initial drug test (with a
negative result), he/she will be placed in the Random Pool after
which he/she will be notified via U.S. mail to report to an .
approved collection site for a random drug test. The individuals
chosen for a random drug test will be selected anonymously, from
a computerized selection program. Fifty percent (50%) of the
currently active BCRC individual cardholders will be selected
annually for random testing. Then, on a monthly basis, one -
twelfth (1/12) of the selected employees will be notified to submit
to a random test in order to update their BCRC identification
cards and status. A copy of the form letters notifying individuals
of their selection for this random test appears as an attachment A,
B & C at the back of this booklet.
Employees will be required to report to an approved collection
site within seven (7) days from the date of the Notice for Random
Testing letter in order to maintain their BCRC identification card
and status. No employee will be required to submit to a random
test more than twice (2) in a twelve (12) month period. All
employees will be selected for a random at least once (1) every
two (2) years.
15
If an employee does not provide a sample at an approved
collection site within seven (7) days of having been notified of a
random selection, his/her status in the BCRC Substance Abuse
Program will be deemed "Not Available." Employees who fail to
report for a random test in the required time should contact the
Third Party Administrator (TPA). If an employee does not report
for a random test, and it is the first (1) time the employee has
failed to report, the TPA may allow the employee to take the test
without reporting to the EAP for further review. Employees may
choose to take a "First Occurrence Clause" at this time.
Employees may utilize this clause only one (1) time. However,
once this "First Occurrence Clause" has been utilized, an
employee who fails to report for a random test at any time in the
future will be required to contact to the EAP for evaluation and to
receive instructions on the required procedure(s) for removing the
"Not Available" status from his/her card.
PROBABLE CAUSE TESTING
An employee may be subject to drug and alcohol testing for
Probable Cause based on observed and documented unusual
behavior. Circumstances sufficient to lead a reasonable person to
suspect that an employee is under the influence of,, or is in
possession of a controlled substance shall be determined by an
immediate supervisor and should be confirmed by one other
supervisor whenever possible. The immediate supervisor shall
document, in writing, the incident and the probable cause basis
for such testing. The documentation shall specifically detail the
behavior and conduct of the employee, the location, date, time, of
observation, conversations, witnesses, (if any), and should be
signed by the supervisor who witnessed the incident. Such
employees may request that a union representative be available or
present prior to any action taken by an employer, if any, at any
stage of the policy and its administration.
16
POST -ACCIDENT / INCIDENT TESTING
An employer may require an employee to submit to a post -
accident drug and alcohol test after the involvement in, or cause
of an accident/incident, that causes injury to the employee or
another party. The employer may also require an employee to
submit to a post -accident drug and alcohol test when the
employee is involved in, or causes an accident, which results in
damage or destruction to property. Post -accident drug and
alcohol testing must be completed within two (2) hours of the
recorded accident/incident if a BCRC testing facility is located on
the job site or within four (4) hours of the recorded
accident/incident if an employee is required to go off the job site
to a BCRC testing facility. Any employee suspected of
unnecessarily delaying the test process will be considered to have
refused to submit to testing.
In instances of post-accident/incident or probable cause testing for
drugs and alcohol, the employee will be transported to the testing
facility by the employer. At the option of the employer, the
employee may be suspended pending the test result. In the event
a negative test result is reported, the employee shall be
compensated for all lost time at the appropriate rate within the
collective bargaining agreement, straight or premium pay. ;
When an employee is injured in a qualifying accident, priority
must be given to the employee's medical treatment before any
consideration is given to collecting a specimen for testing.
Such employees may request that a union. representative be
available or present prior to any action taken by an employer, if
any, at any stage of the policy and its administration. If an
employee is aggrieved by any action taken under this Drug and
Alcohol Policy and his/her complaint cannot be resolved, the
complaint may, if the employee or Union requests, be referred as
grievance under the grievance and arbitration provisions of the
employee's collective bargaining agreement. In the event the
matter is referred to arbitration, the arbitrator shall be bound
17
substantively by the provision of this Drug and Alcohol Policy.
"EMERGENCY" WORK ASSIGNMENTS
To accommodate owners with emergency work, craft personnel
who have not previously held a BCRC identification card or taken
an initial drug test the following provisions will apply when
starting for emergency work assignments.
1. Upon arrival at a job location for sign-up, the employer
representative (Card Manager) shall request the employee to
present his/her BCRC identification card.
An individual that does not have a BCRC card at the time of
hire will be requested to secure a card and submit to an
initial drug test within one (1) day, in order to comply with
the BCRC Policy.
2. An employee without a BCRC identification card may work
one (1) day. On the second (2) day, a Chain of Custody form
(as proof of having submitted to a drug test) or a BCRC card
must be presented.
3. An employee who has provided a specimen for testing must
bring to the job site his/her copy of the Chain of Custody
form, given to him/her by the collection site, as proof that
he/she has submitted to an initial test.
4. If the work assignments are consecutive, the employee will
be allowed to work for up to a maximum of four (4) days in
order for the employee to receive his BCRC identification
card and have the employer Card Manager swipe the card for
status verification.
5. If the member's work assignment is terminated by his/her
employer before the member's status is verified within the
allowable four (4) days for verification, and the individual is
rehired, the member will have to provide the same employer
a BCRC identification card at the second (2) rehiring sign
up, and a clear status. Except in the event that the rehire is
less then four (4) days from the initial hire date, the
Individual, Local and Non -Local, BCRC card holder shall
E
accept and understand that should his/her drug test results be
reported as positive, he/she will be subject to disciplinary
action up to and including termination without obligation for
further compensation by the BCRC affiliated employer. Such
termination shall also be subject to the individual's rights
under his/her collective bargaining agreement.
CARD SYSTEM
Employees will be required to give their BCRC Card ID Number
to a Card Manager in order for the Card Manager to access the
e-mail status confirmation system.
Categories are:
1. Not On File (NOF)
2. Not Available (N/A)
3. Clear (CL)
The Card Manager will also have access to safety training
information, which has been downloaded through the
Construction Advancement Foundation (CAF) and accessible
through the BCRC scanner or email system only with the
permission of each participating Local Union.
STATUS CONFIRMATION
Participating employers may verify the status of all BCRC
employees, who are working, by having their card status verified
on their job site in order to determine if the employee is available
or not available under the BCRC program. The employer may
use the Phone-in System, Scanner or Electronic e-mail for
verification.
When an employee's status is Not Available (NIA), he/she will be
advised to contact the BCRC office to resolve the N/A status. The
individual may be required to follow the consequences for a
positive test within the BCRC Policy.
The employer may verify the employee's card after four (4) days
to reconfirm the status and if the employee's status is still NIA,
the employer may terminate the employee.
An employee who receives a status of N/A a second (2) time will
be referred to the Employee Assistance Program for assessment,
and will be required to follow the recommendations of the EAP
Counselor before being considered for further assignments. The
status of Clear (CL) will be restored only with written approval of
the EAP.
This procedure will protect the employee's confidentiality and
allow the employer to audit .the status of his/her employees,.
which may be required by the owner to be submitted monthly.
INSUFFICIENT SPECIMEN
A person who provides an insufficient specimen of urine or breath
when required to do so shall be referred to an appropriate medical
professional, as designated by the BCRC for evaluation at the
participant's expense. If the medical evaluation fails to reveal an
acceptable medical explanation for the inability to provide a
specimen, the donor shall be considered to have refused to test
and discipline shall be imposed according to this policy. If a
legitimate medical reason is revealed no action shall be taken and
the employee shall be reimbursed by BCRC for the medical
evaluation expense.
DILUTED SPECIMEN
An employee providing a diluted specimen will be given the
opportunity to return to a collection site within forty-eight (48)
hours to provide a second (2) specimen, on his/her own time.
Employees should refrain from excessive consumption of fluids
prior to the retest. No adverse action or discipline shall be taken
against any employee based on a first (1) diluted specimen. A
second (2) diluted specimen, without a valid medical reason, will
be treated as a refusal to submit to testing.
ADULTERATED,. SUBSTITUTED,
AND/OR OUT -OF -TEMPERATURE RANGE SPECIMEN
When a urine specimen is reported as adulterated, or substituted,
or when the temperature range is below 90 degrees or above 100
degrees F., the employee will be considered to have not
cooperated with the testing process, and the test will be
considered a refusal to be tested.
In addition, the employee who has refused to be tested, or who
uses or.possesses a counterfeit drug card, shall be subject to
employer discipline up to and including discharge, subject'to the
representation language.
CONSEQUENCES FOR A POSITIVE TEST
1. An employee who tests positive for drugs and/or alcohol
shall be contacted directly by the Medical Review Officer
(MRO). If the MRO verifies the results of the positive test, the
MRO will notify the individual that he or she is ineligible for
work and he/she will be directed to contact the program's
Employee Assistance Program (EAP) for consultation and review.
If the MRO contacts the individual and finds that there is a reason
for the positive test (an authorized prescriptive medication) the
MRO will downgrade the result to a negative, and the individual's
card will be marked "CL".
2. In the case of a confirmed positive drug or alcohol test, the
Third Party Administrator (TPA) will be notified that the
employee's status should be marked "N/A". The "N/A" status
will be effective at the moment that a confirmed positive test is
received.
21
3. Before returning to work, an employee must (1) complete an
evaluation with the program's Employee Assistance Program
provided by the BCRC EAP Provider, (2) follow a treatment plan
prescribed by the program's EAP, (3) obtain written
documentation from the program's EAP verifying fitness for duty,
and (4) obtain a negative result on a return -to -duty test.
4. A confirmed positive test or a "NIA" status will not be the
sole basis for termination of employment. Only employees who
are in non-compliance with this program may be discharged. For
the purposes of this provision, "non-compliance" shall mean one
or more of the following:
• Failure to report to the program's Employee Assistance
Program as directed,
• Failure to follow and/or,complete a EAP-prescribed treatment
program,
• Failure to take a return -to -duty or follow-up test,
• Failure to report for a random test request within seven (7)
days,
• Failure to submit to a drug or alcohol test when requested to
do so by the EAP
5. An individual testing positive for a third (3) time in a twelve
(12) month period shall not be permitted to take a Return -to -Duty
test for one (1) year and his/her BCRC Substance Abuse Card
shall be invalidated for the same time period. The individual
must also complete an EAP-prescribed treatment program before
returning to work. For the purposes of this policy, a negative test
must occur before any future positive tests will be counted as
additional strikes.
6. An employee whose .test results are verified positive will be
referred to the EAP by the MRO. The employee is expected to
attend all appointments with the EAP counselor and to follow the
EAP counselor's instructions.
22
RETURN -TO -DUTY TESTING
The return -to -duty test is required for an employee to be re-
instated into the program following a positive test. The
participant must have a negative drug test before resuming
performance of his/her job duties.
FOLLOW-UP TESTING
Follow-up testing for drugs and alcohol is a requirement in order
for a returning employee to stay in compliance with the BCRC
Program. Testing shall be determined by the Employee
Assistance Counselor, and will be implemented when the
employee returns to work.
DISPUTED POSITIVE RESULTS
An employee who disputes positive results shall have the right to
have his/her initial sample independently re -tested by a
Department of Health and Human Services (DHHS) certified
laboratory of his/her choice, at his/her -own expense, within ten
(10) working days of when he/she was notified of the. test results.
A portion of the initial sample shall be forwarded under a chain -
of -custody directly by BCRC's testing laboratory to the laboratory
selected by the individual. Review of the drug test result must be
performed by a qualified MRO who has been approved by
BCRC. If the second lab report shows the presence of a
controlled substance, the test result will be considered positive. If
-the second lab report test indicates no presence of.a controlled
substance, then both tests will be considered negative.
The following section only applies when the employee tests due
to Post -Accident or Probable Cause: If the test is negative, the
affiliated employer will reimburse the individual for
compensation lost at the appropriate rate within the collective
bargaining agreement, straight or premium pay, during the period
nn
of his/her disciplinary suspension or termination and will
reimburse the individual for the cost of the re -test.
An individual whose test results are verified positive will be
referred to the EAP by the MRO. The individual is expected to
attend all appointments with the EAP counselor and to follow the
counselor's recommendations and requirements...
A positive alcohol testing conducted on a breath Sample cannot be
re -tested.
All problem situations shall be resolved in accordance with
current guidelines and standards established by the U.S. DHHS or
Department of Transportation.
APPEALS AND PROTECTIONS
Employees who are subject to this policy continue to have access
to the usual protections provided as a part of their union
membership and/or as members of bargaining units covered by
collective bargaining agreements. Such individuals may request
that a union representative be available or present prior to any
action taken by an employer, if any, at any stage of the policy and
its administration. If an individual is aggrieved by any action
taken under this Drug and Alcohol Policy and his/her complaint
cannot be resolved, the complaint may, if the individual or Union
requests, be referred as a grievance under the grievance and
arbitration provisions of the individual's collective bargaining
agreement. In the event the matter is referred to arbitration, the
arbitrator shall be bound substantively by the provisions of this
Drug and Alcohol Policy.
24
Attachment A
MY CHOICE!
SWSWO rxF�c#
t
BUILDING & CONSTRUCTION RESOURCE CENTER, INC.
Letter of Notice for Random Testin
Dear
Your name has been.randrnnly Selected by BC'RC's computer generated selection
program to take a random drug test in order to ntikintain your "Clear" BCRC
identification card status. Our computer progrant selects the names of one -twelfth
(1/12) of 50`lo of all BCRC cardholders for update each month. No one will be tested
in this system more than twice in a twelve nionth period.
You will be required to report to an approved collection site within ~even (7) days from
the date; of this "Notice for Random Testing" letter to stay in compliance with the
BC' :C policy. In order to avoid any potential interruption in the status of your card, you
must be tested no later than midnight the (clay) of (Month), 200�. This random test is
to be taken on your own time at any of the approved collection sites identified on the
enclosed collection site list. You will be mailed a $40.00 stipend for the. time necessary
to secure random testing as lung :is your test is taken within seven (7) days of this
notice.
If you do not take your random test within seven (7) days of this notice, your BCRC
card status will be deemed "Nut Available". Failure to report for a random test in the
required tine it will be necessary for you to contact the BCRC office to receive
instructions on the required procedure(s) for removing the "Not Available" status from
your card.
Remember it is your responsibility to keep the: BCRC informed of any change in your
address or telephone number.
The BCRC has contracted with Perspectives as a fully independent, professional
Employee Assistance Prograin (EAP) For you and your family. Perspectives' 24 hour, 7
day a week hotline number is (800) 456-6327.
Please contact the; BCRC office Ca) ? 19-764-95(X) or tall free @ 877-988-5400 if you
have any questions. 'l'hank you for your cooperation.
Sincerely,
James Bohlen
Executive Director
25
Attachment B
MY CHOICE?
wMUAKT-f* ro+ut,�
// - � // z
BUILDING & CONSTRUCTION RESOURCE CENTER, INC.
Letter of Notice for Random Testing
Dear
Your name has been randomly selected by BCRC's computer generated selection
program to take a random drug test in order to maintain your "Clear' status on your
BCRC identification card. Our computer program selects the names of one -twelfth
(1/12) of 50% of all BCRC cardholders for random updating each month. No one will
be tested in this system more than twice in a twelve month period.
You will be required to report to an approved collection site within seven (7) days from
the date of this "Notice for Random Testing" letter to stay in compliance with the
BCRC policy. In order to avoid any potential interruption in the status of your card, you
must be tested no later than midnight the (day) of (Month), 200`.
If you do not take your random test within seven (7) days of this notice, your BCRC
card Status will be deemed "Not Available". Failure to report for a random test in the
required time will make it necessary for you to contact the BCRC office to receive
instructions on the required procedure(s) for removing the "Not Available" status from
your card.
Remember it is your responsibility to keep the BCRC informed of any change in your
address or telephone number.
The BCRC has contracted with Perspectives as a fully independent, professional
Employee Assistance Program (EAP) for you and your family. Perspectives' 24 hour,
day a week hotline number is (800) 456-6327.
Please contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400 if you
have any questions. Thank you for your cooperation.
Sincerely,
James Bohlen
Executive Director
AIN
Attachment C
MY CHOICFI
A ASS EAME.FW WDVV Aa
r
BUILDING & CONSTRUCTION RESOURCE CENTER, INC.
Letter of Notice for Random Testing
Dear
Your name has been randomly selected by BCRC's computer generated selection
program to take a random drug test in order to maintain your "Clear' status on your
BCRC identification card. Our computer program selects the names of one -twelfth
(1/12) of 50% of all BCRC cardholders for random updating each month. No one will
be tested in this system more than twice in a twelve month period.
You will be required to report to an approved collection site within seven (7) days -from
the date of this "Notice for Random Testing" letter to stay in compliance with the
BCRC policy. In order to avoid any potential interruption in the status of your card, you
must he tested no later than midnight the (day) of (Month), 200_. Tests may be taken
on your Employer's/Contractor's time at the collection facility selected from the
enclosed Iist.
If you do not take your random test within seven (7) days of this notice, your BCRC
card status will be deemed "Not Available". Failure to report for a random test in the
required time will make it necessary for you to contact the BCRC office to weive
instructions on the required procedurefs) for removing the "Not Available" status from
your card.
Remember it is your responsibility to keep the BCRC informed of any change in your
address or telephone number.
The BCRC has contracted with Perspectives as a fully independent, professional
Employee Assistance Program (EAP) for you and your family, Perspectives' 24 hour, 7
day a week hotline number is (800) 456-6327.
Please contact the BCRC office @ 219-764-9500 or toll free @ 877-988-5400 if you
have any questions. Thank you for your cooperation.
Sincerely,
James Bohlen
Executive Director
27
ATTACHMENT I
BUILDING AND CONSTRUCTION RESOURCE CENTER INC.
AUTHORIZATION FOR CONSENT TO DRUG AND ALCOHOL ANALYSIS
AND AUTHORIZATION FOR RELEASE OF RESULTS
I, the undersigned, , do hereby authorize the testing of my
body fluids for employment reasons and understand and agree that the results of any
such testing will be turned over to the Building and Constructions Resource Center, Inc.
and, further that the testing procedures will be~limited to tests for prohibited and illegal
drugs and controlled substances.
I understand that the results of these tests may he used for employment and disciplinary
reasons and hereby authorize the release of such infarrnation from the laboratory and
MRO.
I further certify that the urine specimen collected from me is mine and not adulterated
or altered in any manner. I have been advised that matters affecting me relative to -the
interpretation or application of the Drug Policy and subject exclusively to the grievance
and arbitration procedure under my collective bargaining agreement (if applicable).
Witness
Date
Time
Signature of Applicant/Employee
Employee's Social Security Number
Employee's Telephone Number
Employee's Address
City
State & Zip Code
W
ATTACHMENT II
BCRC APPLICANT/CARDHOLDER DRUG TEST
INFORMATION AND INSTRUCTION SHEET
BCRC is exercising extreme care to ensure that strict quality control
measures are followed in the collection, handling, and analysis of you
specimen. You play an important role in this process and should be certain
that you have provided an unadulterated specimen to the laboratory.
Remember, you are certifying that the specimen which you provide is
yours and is unadulterated. Any adulteration or switching of specimen is a
breach of BCRC's rules and, if you are employed, may subject you to
discipline up to and including termination by your employer.
For your own protection and peace of mind, we ask that you:
• Provide a picture identification to the collectionsite/technician at time
of arrival;
• Be escorted to a collection room and asked to provide an unadulterated
specimen in the collection bottle provided. The bottle should be filled
to 60 ml;
• Return the specimen bottle to the medical technician and witness, initial
and date the integrity seals placed on your specimen;
• Verify the proper spelling of your name as recorded on the log sheet;
• Verify that your social security number has been properly recorded;
• Verify that the social security number placed on your specimen bottle is
the same as that recorded on the log sheet and the Chain of Custody
form.
I HAVE READ THE ABOVE AND HAVE HAD AN OPPORTUNITY
TO ASK QUESTIONS REGARDING THIS PROCEDURE.
BCRC Applicant/Cardholder Signature Date
7Q
Building and Construction Resource Center, Inc.
Board of Directors
Officers
Bill Hasse. President
Calumet Builders Association
Jay Potesta. Vice President
Sheet Metal VVorkers• Union
Finance Committee
Aaron Carlberg
Carpenters Union District Council
Richard Greene, Secretary
Laborers Local 41
Gary Keben,Treasure;
Industrial Contractors Association
Scott Vidimos
Industrial Contractors Association
Edward J. Shikany Ray Kasmark
National Elect. Contractors Association IBEW Local 697
General Board Members
James Strayer
Building Trades Council (At Lure)
Joe Guadagno
Technical Engineers Local 130
Ed Posey
Painters Local 460
Wayne Snider
Operating Engineers !.oral 150
Ron Peters
Calumet Builders Association
Bob Goodpaster
Industrial Contractors Association
Dale Johnsen
Bric'klcn•ers Local 4
'Charles Babilla
Roofing Association
Tom Nf uchesko
Industrial Contractors Association
Jeffrey Lussow
Roofers Lrx•al 26
Jaynes Mitchell, Sr.
Finishing Contractors Association
Mark McCleskey
Cement Finishers Local 406
Dewey Pearinan
CA F (At Large)
Tom Burke
Pipe Fitters Local 597
Tom Owens
Calumet Builders Associa..on
Dave DePrizio
Industrial Contractors Association
Gregory Grimmer
Calumet Builders Association
Mitch Sawochka
Teamsters Local 142
Bob Hoover
Bricklayers Association
Jim Stemmler
Ironworkers Local 395
Kelly Keough
Plumbing h Piping. Contractors Association
David Misch
Plumbers Local 210